Table 4.
Estimates of Additional Direct Costs As a Result of Newer Technologies
| Year | MIRP v Open RP |
||||||
|---|---|---|---|---|---|---|---|
| Utilization of MIRP From Our Cohort | Weighted Estimated Utilization of MIRP in US | Total No. in SEER Who Underwent Surgery | Estimated Total No. in the US Who Underwent Surgery | Estimated No. of MIRP in the US | Mean Cost Difference Between MIRP and Open RP ($) | Total Cost Savings If All MIRP in US Changed to Open RP ($) | |
| 2002 | 1.49 | 1.14 | 15,368 | 59,108 | 674 | 11,918 | 8,030,720 |
| 2003 | 9.48 | 7.78 | 14,760 | 56,769 | 4,417 | 3,902 | 17,233,683 |
| 2004 | 19.59 | 18.17 | 15,360 | 59,077 | 10,734 | 715 | 7,675,018 |
| 2005 | 28.66 | 25.17 | 13,866 | 53,331 | 13,423 | 293 | 3,933,060 |
| Year | IMRT v 3D-CRT |
||||||
|---|---|---|---|---|---|---|---|
| Utilization of IMRT From Our Cohort | Weighted Estimated Utilization of IMRT in US | Total No. in SEER Who Underwent RT | Estimated Total No. in the US Who Underwent RT | Estimated No. of IMRT in the US | Mean Cost Difference Between IMRT and 3DCRT ($) | Total Saving Cost If All IMRT in US Changed to 3DCRT ($) | |
| 2002 | 28.65 | 23.35 | 10,656 | 40,985 | 9,570 | 14,741 | 141,071,333 |
| 2003 | 47.20 | 39.62 | 10,148 | 39,031 | 15,464 | 13,876 | 214,579,605 |
| 2004 | 67.31 | 58.80 | 10,006 | 38,485 | 22,629 | 11,214 | 253,763,625 |
| 2005 | 81.66 | 74.18 | 8990 | 34,577 | 25,649 | 10,986 | 281,782,316 |
| Year | Brachy/IMRT v Brachy/3D-CRT |
||||||
|---|---|---|---|---|---|---|---|
| Utilization of Brachy/IMRT From Our Cohort | Weighted Estimated Utilization of Brachy/IMRT in US | Total No. in SEER Who Underwent Brachy + RT | Estimated Total No. in the US Who Underwent Brachy + RT | Estimated No. of Brachy/IMRT in the US | Mean Cost Difference Between Brachy/IMRT and Brachy/EBRT ($) | Total Cost Savings If All Brachy/IMRT in US Changed to Brachy/EBRT ($) | |
| 2002 | 18.66 | 15.51 | 2,914 | 11,208 | 1,738 | 14,953 | 25,993,709 |
| 2003 | 37.54 | 36.49 | 2,136 | 8,215 | 2,998 | 16,044 | 48,094,353 |
| 2004 | 57.26 | 53.72 | 1,931 | 7,427 | 3,990 | 12,697 | 50,658,293 |
| 2005 | 70.19 | 71.27 | 2,000 | 7,692 | 5,482 | 10,789 | 59,146,252 |
Abbreviations: MIRP, minimally invasive radical prostatectomy; Open RP, open radical prostatectomy; SEER, Surveillance, Epidemiology, and End Results database; IMRT, intensity-modulated radiation therapy; Brachy, brachytherapy; 3DCRT, three-dimensional conformal radiation therapy.